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Interstitial Lung Disease in People With Systemic Autoimmune Rheumatic Disease

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5 Table 4. Summary of Recommendations for Monitoring for ILD Progression Recommendations For people with SARDs-ILD, we conditionally recommend monitoring with PFTs. a For people with SARDs-ILD, we conditionally recommend monitoring with HRCT chest. For people with SARDs-ILD, we conditionally recommend monitoring with PFTs and HRCT chest over PFTs alone. For people with SARDs-ILD, we conditionally recommend monitoring with ambulatory desaturation testing. For people with SARDs-ILD, we conditionally recommend against monitoring with chest radiography. For people with SARDs-ILD, we conditionally recommend against monitoring with 6MWD. For people with SARDs-ILD, we conditionally recommend against monitoring with bronchoscopy. For people with IIM-ILD and SSc-ILD, we suggest PFTs for monitoring every 3–6 months rather than either shorter or longer intervals, for the first year, then less frequently once stable. For people with RA-ILD, SjD-ILD, and MCTD-ILD, we suggest PFTs for monitoring every 3–12 months rather than shorter or longer intervals, for the first year, then less frequently once stable. For people with SARDs-ILD, we do not provide guidance about frequency of routine HRCT chest for monitoring ILD but suggest HRCT when clinically indicated. For people with SARDs-ILD, we suggest assessment for ambulatory desaturation every 3–12 months rather than at shorter or longer intervals. a PFTs: Pulmonary function tests including spirometry, lung volumes, and DLCO.

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